Burnwound-v1.0(2015EN)

General information

Name: nl.nfu.Burnwound
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	18-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.19.4
DCM::KeywordList	Brandwond
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.nfu.Brandwond
DCM::PublicationDate	8-9-2015
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	8-9-2015
DCM::Superseeds
DCM::Version	1.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).

Concept

A burn wound is a wound caused by skin being exposed to heat for a certain time above a certain critical temperature. Heat above this critical temperature (+/- 40°C) will cause damage to the skin. There are different types of burn wounds, which are categorized according to the depth of the burn wound.
The depth of the burn wound depends on:

• the temperature of the impacting heat;
• the duration of the impact of heat on the skin;
• the source of the burn (e.g. fire, fluid).

Purpose

The description of the burn wound is of importance for starting or continuing the best possible wound treatment and to be able to properly monitor the wound healing process.

Evidence Base

Different degrees are used to evaluate the depth of the burn wound:

First-degree burn (no wound):

• no blisters, no open wounds
• redness
• good capillary refill
• supple
• painful

Superficial second-degree burn wound (partial thickness of the skin):

• intact / broken blisters
• pink, shiny, uniform
• good capillary refill
• supple
• painful

Deep second-degree burn wound:

• intact / broken blisters
• pink, matte, not homogenous, damp
• slow capillary refill
• slightly more firm
• painful

Third-degree burn wound

• intact / broken blisters, epidermis stuck to burned dermis
• white, brown, yellow, red (when kept in hot water for a prolonged period of time)
• no capillary refill, non-removable redness
• firm
• less painful than the size of the wound makes it appear

(Source: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk [2010 Burn wound protocol, Beverwijk Red Cross Burn Wound Center])

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:19.4.1	BurnWound							Root concept of the BurnWound building block. This concept contains all data elements of the BurnWound building block.	48333001 Burn
	NL-CM:19.4.2		Depth					1	Description of the severity of the burn wound, ranging from degree 1 - 3.		DepthCodelist
	NL-CM:19.4.7		Extent					0..1	The extent of a burn wound is indicated in a percentage of the ‘Total Body Surface Area’ (TBSA). For adults, the TBSA can be calculated on the basis of the ‘rule of nines’, in which body parts are expressed in the percentage 9 and multiples of 9. This ‘rule of nines’ cannot be used for children because a child’s body proportions are different from those of an adult. For children, separate tables were developed per age group to determine the extent of burn wounds. Another option is measuring the extent using the patient’s hand surface area. The surface area of a patient’s hand (including the fingers) equals approximately 1% of their total body surface area. (Source: Brandwonden genezen. Hoe verder? [Healing Burn Wounds. What now?)
	NL-CM:19.4.3		StartDate					0..1	Date on which the burn wound appeared.
	NL-CM:19.4.4		AnatomicalLocation					0..1	The location of the burn wound on the body.		BurnWoundAnatomicalLocationCodelist
	NL-CM:19.4.5		Explanation					0..1	Explanation of the burn wound.	48767-8 Annotation comment
	NL-CM:19.4.8		DateOfLastDressingChange					0..1	Date on which the dressing was last changed.
	NL-CM:19.4.6		Treatment::NursingProcedure					0..*	The procedures carried out to treat the burn wound.		NursingIntervention

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page

Example Instances

Only available in Dutch

Brandwond
Dieptegraad	2e graad, oppervlakkig
Uitgebreidheid	1%
AnatomischeLocatie	onderarm rechts
OntstaansDatum	29-09-2014
DatumLaatste Verbandwissel	10-10-2014
Behandeling
Activiteit	Verbinden met hydrofyber verband, dagelijkse wondinspectie, zo nodig verwisselen van niet adherente delen van hydrofyber verband.

Toelichting	Mevrouw kreeg hete thee over zich heen, wond is ongeveer 10 bij 4 cm.

Issues

Damages to the skin as a result of exposure to intense heat and cold can lead to similar wounds. Nevertheless, we have decided not to expand the building block to become a generic thermal wound building block. The reason for this was the lack of a guideline for treating freeze wounds and insufficient agreement in the field on the applicability of the burn wound classification for freeze wounds. Freeze wounds also rarely occur in the Netherlands, due to the climate.

References

1. Brandwondenprotocol 2010 [Online] Beschikbaar op:https://www.rkz.nl/brandwondenprotocol_online [Geraadpleegd: 13 februari 2015]

2. Brandwonden genezen. Hoe verder? [Online] Beschikbaar op:http://brandwondenstichting.nl/wp-content/uploads/2013/08/NBS_Hoe-verder-huisartsen-2011.pdf [Geraadpleegd: 13 februari 2015]

Valuesets

BurnWoundAnatomicalLocationCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2

Conceptname	Codesystem name	Codesystem OID
SNOMED CT: <<91723000 | anatomical structure |	SNOMED CT	2.16.840.1.113883.6.96

DepthCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
first degree burn injury	77140003	SNOMED CT	2.16.840.1.113883.6.96	1e graad
superficial partial thickness burn	46541008	SNOMED CT	2.16.840.1.113883.6.96	2e graad, oppervlakkig
deep partial thickness burn	262588000	SNOMED CT	2.16.840.1.113883.6.96	2e graad, diep
third degree burn injury	80247002	SNOMED CT	2.16.840.1.113883.6.96	3e graad

This information model in other releases

• Release 2016, (Version 3.0)
• Release 2017, (Version 3.2)

More on this information model

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

• HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
• HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 24/01/2018 17:35:40

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